Abstract
OBJECTIVE: To investigate the extent to which parents' degree of dietary self-control, as measured by self-reported dietary restraint, disinhibition, and perceived hunger, affects the development of excess body fat in the child.
DESIGN: Prospective observational study.
SUBJECTS: Ninety-two 3–5 y old children and their parents, enrolled in 1987 in the Framingham Children's Study.
MEASUREMENTS: Self-reported levels of parental dietary restraint, disinhibition and perceived hunger were estimated using Stunkard and Messick's Three-Factor-Eating Questionnaire. Anthropometric measurements (height, weight and skinfold measurements at five sites) were obtained yearly for children and parents. The child's activity level was measured on multiple days each year using Caltrac accelerometers. Energy intake and percentage of calories from total fat were estimated from multiple sets of food diaries, collected each year. All analyses were adjusted for the following potential confounders: child's sex and baseline values for age, height, mean physical activity level, total calories and percentage of calories from fat as well as the educational levels of the parents at baseline.
RESULTS: Over 6 y, children's body fat increased linearly with increasing levels of self-reported parental disinhibition (eg 6 y increase in the child's sum of five skinfolds was 34.4, 45.8 and 59.2 mm across increasing tertiles of parental disinhibition, P=0.012). Overall, children whose parents had higher dietary restraint scores had greater increases in body fatness than children whose parents had the lowest levels of restraint. When both parents had above average scores on dietary disinhibition or restraint, the children had greater increases in body fat (on all anthropometry measures) than when only one parent or when neither parent had high scores on those factors. Parental scores on the perceived hunger scale had no clear effect on body fat change of children. Since disinhibition and dietary restraint frequently co-exist, we then examined the joint effect of these two factors. The children with the greatest increases in body fat were those whose parents scored high on both factors. In the final analysis, we found that dietary restraint adversely affected the child's body fat only when associated with high parental disinhibition.
CONCLUSION: This study suggests that parents who display high levels of disinhibited eating, especially when coupled with high dietary restraint, may foster the development of excess body fat in their children. This association may be mediated by direct parental role modeling of unhealthy eating behaviors, or through other indirect, and probably subconscious, behavioral consequences such as the suppression of the child's innate regulation of dietary intake.
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References
Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL . Increasing prevalence of overweight among US adults: the National Health and Nutrition Examination Surveys, 1960 to 1991 JAMA 1994 272: 205–211.
Dietz WH . Childhood weight affects adult morbidity and mortality J Nutr 1998 128: 411S–414S.
Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL . Overweight prevalence and trends for children and adolescents: the National Health and Nutrition Examination Surveys, 1963 to 1991 Arch Pediatr Adolesc Med 1995 149: 1085–1091.
Schlicker SA, Borra ST, Regan C . The weight and fitness status of United States children Nutr Rev 1994 52: 11–17.
Sinaiko AR, Donahue RP, Jacobs DR, Prineas RJ . Relation of weight and rate of increase in weight during childhood and adolescence to body size, blood pressure, fasting insulin, and lipids in young adults: the Minneapolis Children's Blood Pressure Study Circulation 1999 99: 1471–1476.
Gunnell DJ, Frankel SJ, Nanchahal K, Peters TJ, Smith GD . Childhood obesity and cardiovascular mortality: a 57-y follow-up study based on the Boyd Orr cohort Am J Clin Nutr 1998 67: 1111–1118.
DeLany JP . Role of energy expenditure in the development of pediatric obesily Am J Clin Nutr 1998 68 (Suppl): 950S–955S.
Rosenbaum M, Leibel RL, Hirsch J . Obesity. [Review.] New Engl J Med 1997 337: 396–407.
Klesges RC, Klesges LM, Eck LH, Shelton ML . A longitudinal analysis of accelerated weight gain in preschool children Pediatrics 1995 95: 126–130.
Dietz WH, Gortmaker SL . Do we fatten our children at the television set? Obesity and television viewing in children and adolescents Pediatrics 1985 75: 807–812.
Shea S, Stein AD, Basch CE, Contento IR, Zybert P . Variability and self-regulation of energy intake in young children in their everyday environment Pediatrics 1992 90: 542–546.
Birch LL . Psychological influences on the childhood diet J Nutr 1998 128: 407S–410S.
Zive MM, Frank-Spohrer GC, Sallis JF, McKenzie TL, Elder JP, Berry CC, Broyles SL, Nader PR . Determinants of dietary intake in a sample of white and Mexican-American children J Am Diet Assoc 1998 98: 1282–1289.
Fisher JO, Birch LL . Fat preferences and fat consumption of 3- to 5-year-old children are related to parental adiposity J Am Diet Assoc 1995 95: 759–764.
Vauthier JM, Lluch A, Lecomte E, Artur Y, Herbeth B . Family resemblance in energy and macronutrient intakes: the Stanislas family study Int J Epidemiol 1996 25: 1030–1037.
Golan M, Weizman A, Apter A, Fainaru M . Parents as the exclusive agents of change in the treatment of childhood obesity Am J Clin Nutr 1998 67: 1130–1135.
Johnson SL, Birch LL . Parents' and children's adiposity and eating style Pediatrics 1994 94: 653–661.
Baughcum AE, Burklow KA, Deeks CM, Powers SW, Whitaker RC . Maternal feeding practices and childhood obesity: a focus group study of low-income mothers Arch Pediatr Adolesc Med 1998 152: 1010–1014.
Evers C . Empower children to develop healthful eating habits J Am Diet Assoc 1997 97 (Suppl 2): S116.
Birch LL . Children's food preferences: developmental patterns and environmental influences Ann Child Dev 1987 4: 171–208.
Cutting TM, Fisher JO, Grimm-Thomas K, Birch LL . Like mother, like daughter: familial patterns of overweight are mediated by mothers' dietary disinhibition Am J Clin Nutr 1999 69: 608–613.
Klesges RC, Malott JM, Boschee PF, Weber JM . The effects of parental influences on children's food intake, physical activity, and relative weight Int J Eat Disord 1986 5: 335–346.
Moore LL, Nguyen UDT, Rothman KJ, Cupples LA, Ellison RC . Preschool physical activity level and change in body fatness in young children: the Framingham Children's Study Am J Epidemiol 1995 142: 982–988.
Stunkard AJ, Messick S . The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger J Psychosom Res 1985 29: 71–83.
Montoye HJ, Washburn R, Servais S, Ertl A, Webster JG, Nagle FJ . Estimation of energy expenditure by a portable accelerometer Med Sci Sports Exerc 1983 15: 403–407.
Sallis JF, Alcaraz JE, McKenzie TL, Hovell MF, Kolody B, Nader PR . Parental behavior in relation to physical activity and fitness in 9-year-old children Am J Dis Child 1992 146: 1383–1388.
Kleinbaum DG, Kupper LL, Muller KE . Applied Regression Analysis and Other Multivariable Methods, 2nd edn PWS-Kent: Boston, MA 1988, pp 297–313.
SAS Institute Inc . SAS/STAT User's Guide, Version 6, 4th edn, Vol 2. SAS Institute Inc.: Cary, NC, 1990, pp 893–996.
Polivy J, Herman CP, Warsh S . Internal and external components of emotionality in restrained and unrestrained eaters J Abnorm Psychol 1978 87: 497–504.
Stunkard AJ . Restrained eating: what it is and a new scale to measure it. In: LA Cioffi et al (eds) The Body Weight Regulatory System: Normal and Disturbed Mechanisms Raven Press: New York 1981, pp 243–251.
Stunkard AJ, Wadden TA . Restrained eating and human obesity Nutr Rev 1990 48: 78–86.
Pirke KM, Laessle RG . Restrained eating. In: Stunkard AJ, Wadden TA (eds) Obesity: Theory and Therapy, 2nd edn Raven Press: New York 1993, pp 151–162.
Westenhoefer J, Broeckmann P, Munch AK, Pudel V . Cognitive control of eating behavior and the disinhibition effect Appetite 1994 23: 27–41.
Knight LJ, Boland FJ . Restrained eating: an experimental disentanglement of the disinhibiting variables of perceived calories and food type J Abnorm Psychol 1989 98: 412–420.
Stunkard AJ, Fernstrom MH, Price RA, Buss E, Frank E, Kupfer DJ . Weight change in depression: influence of ‘dis inhibition’ is mediated by body mass and other variables Psychiatry Res 1991 38: 197–200.
Heatherton TF, Polivy J, Herman CP . Restraint, weight loss, and variability of body weight J Abnorm Psychol 1991 100: 78–83.
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH . Predicting obesity in young adulthood from childhood and parental obesity New Engl J Med 1997 337: 869–873.
Kassirer JP, Angell M . Losing weight–an ill-fated New Year's resolution. (Editorial.) New Engl J Med 1998 338: 52–54.
Blackburn GL, Wilson GT, Kanders BS, Stein LJ, Lavin PT, Adler J, Brownell KD . Weight cycling: the experience of human dieters Am J Clin Nutr 1989 49: 1105–1109.
Lissner L, Odell PM, D'Agostino RB, Stokes III J, Kreger BE, Belanger AJ, Brownell KD . Variability of body weight and health outcomes in the Framingham population New Engl J Med 1991 324: 1839–1844.
Maloney MJ, McGuire J, Daniels SR, Specker B . Dieting behavior and eating attitudes in children Pediatrics 1989 84: 482–489.
Acknowledgements
This study is supported by grant no. HL 35653 15 from the National Heart, Lung and Blood Institute.
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Hood, M., Moore, L., Sundarajan-Ramamurti, A. et al. Parental eating attitudes and the development of obesity in children. The Framingham Children's Study. Int J Obes 24, 1319–1325 (2000). https://doi.org/10.1038/sj.ijo.0801396
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DOI: https://doi.org/10.1038/sj.ijo.0801396
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